№3, 2014, volume 10

The aim: to analyse the results of the control actions of the Territorial body of the Federal service on surveillance in healthcare and social development of the Saratov region made to check medical activity's orders, standards. Material and methods. The study presents the results of the control actions the Territorial body of the Federal service on surveillance in healthcare and social development of the Saratov region made to check medical activity's orders, standards. We used the analytical method to make the research. Results. The study presents the percentage balance of different kinds of defects of medical activity's orders and standards which we got in the results of the control actions of medical organizations in 2013 and eight months of 2014. Conclusion. The study shows the high performance of the control actions of medical activity's orders and standards made by the Territorial body of the Federal service on surveillance in healthcare and social development.

We present comparative analysis of normative legal acts regulating the quality control and safety of medical activity.

The scientific contribution of professor P. S. Grigoriev in the development of domestic venereology is presented, in the period of its activity at the Department of Skin and Venereal Diseases of the 1st Moscow Medical Institute (1936-1940).

The article has presented the data concerning the solutions of problems of infectious pathology by the staff of Department of Pathological Physiology. Special attention has been paid to the development of the pathogenesis and pathogenic therapy of experimental botulinum intoxication.

The rating evaluation is a type of quantitative and qualitative monitoring of students' academic and practical activities. In this article the authors demonstrate the experience of the use of rating system in the assessment of academic and practical preparation of students in the Russian higher schools.

Modernization programs of higher education in "Nursing" preparation is aimed at improving the competitiveness of graduates in the labor market. The article discusses the features of bachelor degree within the Federal State Educational Standard Generation III approved in 2011. The key differences include the obtaining of professional competence of students, the creation of training modules, integrated approach to the teaching, problem-oriented training and development of prospects and ways to improve training of specialists with higher education.

Formation of self-preserving behavior of rural population is defined both by external conditions and factors, and by way of living of a particular person, its value orientations towards his or her own health, and later — by practical implementation of appropriate behavioral values. System of values as the element of culture and essential factor that forms people's attitude to their health determines health-saving or health-destructing practice. In reality, however, there is a mismatch of value orientations of rural population and practical actions for maintaining (destructing) its health.

Purpose: to estimate efficiency of treatment of analogues of insulin Glargin and insulin Detemir in patients with diabetes type 2. Material and methods. 147 patients with diabetes type 2 which have been initially receiving combined therapy by oral antihyperglycemic agent and NPH-insulin have been under the study. Level of glycated hemoglobin has been defined in 3 and 6 months for the general assessment of control of aglycemia. Results. According to the study the use of insulin analogues (Detemir, Glargin) versus NPH insulin for 6 months allowed to reach individual target values of glycemia in 70% of patients with diabetes type 2 with a low risk of hypoglycemia. Conclusion. The use in clinical practice of modern insulin analogues and simple algorithm for dose titration, allows simulating as closely as possible the physiological insulin secretion, helping to achieve compensation of carbohydrate metabolism in larger numbers of patients in comparison with NPH insulin.

The research goal is evaluation of influence of changes in diagnostic & treatment possibilities and surgical approach on the results of treatment of patients with ulcerative gastro-duodenal bleedings (GDB). Material and methods: An analysis of the treatment results of 1885 patients suffering from ulcerative GDB, which have been treated in the surgery department of the "State clinical hospital No.6" in Saratov has been done. The information about the patients suffering from GDB has been retrieved from the digital archives, which were filed from 1991 to 2009. The patients have been divided into five groups according to five periods of work, each one differ by its own diagnostic & treatment possibilities and approaches. The evaluation was based the amount of operations, the number of different types of operations, the efficiency of endohemostasis, the amount of bleeding relapses and the lethality. Results: The introduction of computer prognosis for bleeding relapse, the increase in the number of endoscopic hemostatic methods, the application of Laser Doppler Flowmetry (LDF) for the evaluation of reliability of hemostasis, the use of dynamic endoscopy and testing probe for bleeding relapse in the state of prerelapse syndrome with the combination of preventive measures on the source of bleeding and antisecretory therapy have led to the decrease of overall lethality from 6,5% to 1,9%, and the postoperative lethality from 9,1% to 1,7%. Conclusion: The analysis of treatment results by periods made it possible to have an overview on different factors as they undergo changes during these periods, evaluate weak points in the current treatment tactic and set a direction for further investigations.

Research objective: to estimate results of treatment of patients with the localized form of a cancer of a prostate at a combination of a transurethral resection (TURP) and HIFU of an ablation. Objects and research methods: From February, 2009 to February, 2014 of 100 patients with the localized form of a cancer of a prostate were selected for research:
26 patients were included into HIFU and 74 group in group of the combined treatment (TURP+HIFU). Selection criteria for HIFU ablation were the localized cancer of a prostate concerning which earlier it wasn't carried out treatments, and level of a PSA at the time of statement of the diagnosis 15 ng/ml. All patients corresponding to these by criteria, were considered as candidates for treatment and inclusion in the analysis. The nadir and stability of PSA, the histologic conclusion, IPSS, quality of life and complication were estimated at time of postoperative supervision. Results: Statistically significant influence of a combination TURP+HIFU for the term of transurethral drainage of a bladder (a median of 40 days against 7 days), incontience frequency (15.4% against 6.9%), infections of urinary ways (47.9% against 11.4%) and IPSS change during the postoperative period (on the average 8.91 against 3.37) is noted. During the short period of supervision it wasn't observed considerable changes in relation to efficiency: in HIFU group the frequency of repeated sessions made 25%, in TUR/HIFU group 4%. Conclusion: HIFU therapy is modern, minimum invasive method of a cancer therapy of a prostate. The combination of a transurethral resection and HIFU ablation significantly reduces the frequency of the complications connected with treatment. Maintaining the patient after combined TURP and HIFU ablation is comparable with maintaining the patient after usual TURP.